Cheyenne County Clinic | |
221 W First Saint Francis KS 67756-1075 | |
(785) 332-2682 | |
(785) 332-2516 |
Full Name | Cheyenne County Clinic |
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Speciality | Clinic/Center |
Location | 221 W First, Saint Francis, Kansas |
Authorized Official Name and Position | Jeremy Michael Clingenpeel (CEO) |
Authorized Official Contact | 7853322104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cheyenne County Clinic 221 W First Po Box 1075 Saint Francis KS 67756-1075 Ph: (785) 332-2682 | Cheyenne County Clinic 221 W First Saint Francis KS 67756-1075 Ph: (785) 332-2682 |
NPI Number | 1982644936 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 02/07/2023 |
Medicare PECOS PAC ID | 7517958523 |
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Medicare Enrollment ID | O20040519001000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982644936 | NPI | - | NPPES |
30003937290003 | Medicaid | KS | |
38684748 | Medicaid | CO | |
110731 | Other | KS | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Charles E Frankum |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1184671927 PECOS PAC ID: 5890788459 Enrollment ID: I20040520000571 |
Provider Name | Gary B Morsch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851367809 PECOS PAC ID: 4981595931 Enrollment ID: I20040910001119 |
Provider Name | John Bukaty |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588634224 PECOS PAC ID: 2668407602 Enrollment ID: I20050930000592 |
Provider Name | Heather M Licke |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093026429 PECOS PAC ID: 9537334545 Enrollment ID: I20111202000113 |
Provider Name | Perry W Desbien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578841375 PECOS PAC ID: 4385804152 Enrollment ID: I20120402000463 |
Provider Name | Nicholas Adam Isakson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1215281548 PECOS PAC ID: 5496992497 Enrollment ID: I20130510000543 |
Provider Name | Ronald B Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891042685 PECOS PAC ID: 9335380906 Enrollment ID: I20130724000176 |
Provider Name | Jose L Renteria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053704361 PECOS PAC ID: 1951629963 Enrollment ID: I20150422001832 |
Provider Name | Vincent O Mogoi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386181832 PECOS PAC ID: 5294010070 Enrollment ID: I20170317000112 |
Provider Name | Gabrielle K Gienger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396287298 PECOS PAC ID: 7517299019 Enrollment ID: I20191104000311 |
Provider Name | Jeffrey Michael Parsons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639720766 PECOS PAC ID: 5698007193 Enrollment ID: I20191104000358 |
Provider Name | Naveen Penmasta |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447697750 PECOS PAC ID: 7810294337 Enrollment ID: I20200131000696 |
Provider Name | Benjamin Charles Bosen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134655756 PECOS PAC ID: 0143588475 Enrollment ID: I20201216000968 |
Provider Name | Richard W Hammack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639504871 PECOS PAC ID: 6800025651 Enrollment ID: I20210218002039 |
Provider Name | Keith R Gist |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1043637838 PECOS PAC ID: 0648491399 Enrollment ID: I20210505002241 |
Provider Name | Jesse L Cahoj |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093456980 PECOS PAC ID: 3476932963 Enrollment ID: I20220613002440 |